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1871015206
TRAVIS WAYNE SPARKS
O FALLON, MO
NPI
1871015206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2017022187)
Enumeration Date
2017-07-07
Last Update Date
2022-07-21
Business Address
TRAVIS WAYNE SPARKS DPT
939 HIGHWAY K
O FALLON, MO 63366-2910
Phone number: 636-240-7000
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Mailing Address
TRAVIS WAYNE SPARKS DPT
939 HIGHWAY K
O FALLON, MO 63366-2910
Phone number: 636-240-7000
Copy
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